Re. Maser et al., LIPOPROTEIN(A) CONCENTRATION SHOWS LITTLE RELATIONSHIP TO IDDM COMPLICATIONS IN THE PITTSBURGH EPIDEMIOLOGY OF DIABETES COMPLICATIONS STUDYCOHORT, Diabetes care, 16(5), 1993, pp. 755-758
Citations number
23
Categorie Soggetti
Endocrynology & Metabolism","Medicine, General & Internal","Public, Environmental & Occupation Heath
OBJECTIVE - To examine the potential associations of lipoprotein(a) an
d the complications of IDDM and their risk factors. RESEARCH DESIGN AN
D METHODS - This report focuses on 186 individuals with IDDM (mean age
= 34 yr) participating in a 10-yr prospective study examining various
complications. Lp(a) concentrations were evaluated for those with and
without complications. RESULTS - A weak correlation was seen between
Lp(a) and HbA, (r = 0.16, P < 0.05). Lp(a) concentrations were not sig
nificantly different for those with or without proliferative retinopat
hy, overt nephropathy, peripheral vascular disease, or definite myocar
dial infarction or angina. However, an inverse association (P < 0.05)
was seen with distal symmetric polyneuropathy. These results were also
confirmed by categorical analyses (i.e., Lp(a) levels less-than-or-eq
ual-to 30 vs. > 30 mg/dl). CONCLUSIONS - These results suggest that an
y association of Lp(a) concentration with IDDM complications is likely
to be weak or nonexistent. However, prospective studies are needed be
fore its full role can be determined.